Vaginoplasty

Vaginoplasty is a surgical procedure that is used to construct or reconstruct a woman's vaginal canal and mucous membrane for corrective or cosmetic purposes. There are various reasons why a woman will undergo this kind of surgical procedure. In Some cases, it may be to correct problems from congenital diseases or it could be as a result of trauma of cancer. In other cases, it may be for cosmetic reasons such as dissatisfaction at the vagina’s appearance, or it may be that they have issues with the size. Some women may feel that a vagina that is too large results in unsatisfactory sexual intercourse, or in some cases, may even cause discomfort. Many women may also choose to have vaginoplasty after childbirth. This is because the vagina will lose its elasticity, making it lose any sensations that are associated with pleasurable intercourse.

Vaginoplasty Techniques

Vaginoplasty can be done using many different techniques such as using tissue from other parts of the patient's body in order to construct the vagina. Depending on the requirements, areas that tissue will be taken from, will include skin flaps or graphs, penile skin, skin from the scrotum, mucous membrane epithelium of the mouth, vaginal labia or from the intestinal mucosa and other areas. In the past, other methods were used, but have since been substituted by the new aforementioned techniques.

Vaginoplasty Procedures

There are a number of different procedures that will be used, depending on what the underlying reason is for the surgery. For example, the Vecchietti procedure will be used in patients that have Mullerian Agenesis, which is a type of congenital malformation in which the Mullerian Ducts fail to develop. In the case of those women who suffer from conditions such as vaginal agenesis, congenital adrenal hyperplasia and other similar conditions, they will have the surgery performed using the colovaginoplasty procedure. This is done by removing parts of the sigmoid colon in order to form the vaginal lining of the reconstructed vagina. Trans women who wish to have a vagina constructed would undergo a penile conversion procedure, which is a type of vaginoplasty whereby a vagina is created using erectile tissues, including its nerve and blood supplies from the patient's penis.

In general, the procedure will normally last for about an hour. The patient is placed under local anesthetic and is provided with sedatives. The surgeon will then use a scalpel or laser instrument to cut behind the vagina wall. This is done so that they can expose the muscles that are underneath, which are then tightened through pulling and finally sutured together. The same procedure is then carried out on the vagina wall, and any extra tissue will be removed. Special stitching will be used so that it dissolves after a few weeks have passed. A few hours after the surgery, the patient should be able to leave the hospital if there have been no complications.

Vaginoplasty Recovery

The next few days after surgery will involve a feeling of soreness in the vaginal area. To help with discomfort, pain killers would then be prescribed by the doctor. During this time, it is vital to take as much rest as possible and not walk around unnecessarily as it will cause discomfort. Usually after a week, most women feel comfortable enough to resume some normal activities such as returning to work. However, it will take six weeks or so before they would be able to engage in any kind of sexual intercourse, or use tampons. In this time, any scarring would be internal, and any inflammation from the surgery would have dissipated. During the course of recovery and for the next two or three months, the surgeon will check on the overall progress.

Vaginoplasty Complications

As with any kind of surgery, there are also some risks with vaginoplasty. These include infections, blood loss from heavy bleeding, and in some cases, pain during intercourse as a result the tightening of the vagina.

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